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Jes Care Services Limited Good

Reports


Inspection carried out on 20 March 2019

During a routine inspection

About the service.

Jes Care Services Limited is a domiciliary care service supporting people in their own homes in the Oxfordshire area. At the time of our announced inspection the service supported 23 people.

People’s experience of using this service:

• People were safe. There were enough staff to meet people’s needs. Staff were aware of their responsibilities to report concerns and understood how to keep people safe. We saw that risks to people's safety and well-being were managed through a risk management process. There were systems in place to manage safe administration and storage of medicines. People received their medicines as prescribed.

• People had their needs assessed prior to receiving care to ensure staff were able to meet people’s needs. Staff worked with various local social and health care professionals. Referrals for specialist advice were submitted in a timely manner.

• People continued to be supported by staff that had the right skills and knowledge to fulfil their roles effectively. Staff told us they were well supported by the management team.

• People were supported to meet their nutritional needs and maintain an enjoyable and varied diet.

• People were treated with respect and their dignity was maintained. People were also supported to maintain their independence. The provider had an equality and diversity policy which stated their commitment to equal opportunities and diversity. Staff knew how to support people without breaching their rights. The provider had processes in place to maintain confidentiality.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

• People and their relatives knew how to complain and a complaints policy was in place. People’s input was valued and they were encouraged to feedback on the quality of the service and make suggestions for improvements. People had access to a wide range of individual, meaningful activities.

• The service was well-led. People, relatives and staff were complimentary of the registered manager and the management team. The registered manager promoted a positive, transparent and open culture where staff worked well as a team. The provider had effective quality assurance systems in place which were used to drive improvement. The provider worked well in partnership with other organisations.

The service met the characteristics of Good in Safe, Effective, Caring, Responsive and Well-led. At last inspection on 1 March 2018 we asked the provider to make improvements in relation to risk assessments to manage people’s safety and quality monitoring systems used to improve the service. These actions have been completed.

The service has improved to Good.

Rating at last inspection: Requires improvement. Report published 1 March 2018.

Why we inspected:

This was a planned, routine inspection.

Follow up:

We will monitor all information received about the service to understand any risks that may arise and to ensure the next planned inspection is scheduled accordingly.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection carried out on 23 January 2018

During a routine inspection

This inspection took place on 23 January 2018 and was announced.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults, physically disabled and younger adults.

Not everyone using Jes Care Services received regulated activity; Care Quality Commission (CQC) only inspects the service being received by people provided with personal care; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager in post who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager worked closely with the nominated individual.

Risks to people were not always identified and there were not always risk management plans in place to keep people and staff safe. There was no system in place to monitor accidents and incidents. The provider’s quality assurance systems were not robust enough to monitor the quality of the care delivered and to drive improvement. Some people did not have care plans in place to guide staff on how to support them. People’s records were not always updated when their needs changes.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. The registered manager and staff had a good understanding of the MCA and applied its principles in their work. Where people were thought to lack capacity to make certain decisions, assessments had been completed in line with the principles of MCA. Staff had limited knowledge of the MCA, however, training in the MCA was planned.

People’s relatives told us their relatives were safe receiving care from Jes Care. Staff clearly understood how to safeguard people and protect their health and well-being. There were systems in place to manage safe administration of medicines. People received their medicines as prescribed.

Staff told us they were well supported by the management team. Staff support was through regular supervisions (one to one meetings with their line manager), and spot checks to help them meet the needs of the people they cared for.

People had their needs assessed prior to receiving care from Jes Care to ensure staff were able to meet people’s needs. People were supported to access health professionals when needed and staff worked closely with the continued care team and people's GPs to ensure their health and well-being was monitored.

Staff worked closely with various local social and health care professionals. Referrals for specialist advice were submitted in a timely manner. Where people had received end of life care, staff had taken actions to ensure people would have as dignified and comfortable death as possible. End of life care was provided in a compassionate way.

People knew how to complain and complaints were dealt with in line with the provider’s complaints policy. People’s input was valued and they were encouraged to feedback on the quality of the service and make suggestions for improvements.

The registered manager and management team promoted a positive and open culture. People’s relatives told us the service was well led. Staff told us they worked well as a team and felt valued.

We found two breaches of regulations and you can see what action we took at the end of the report.